Individual provider Active NPI

Roger G Nissen, M.D.

  • Cardiovascular Disease Physician
  • Arlington HTS, IL
National Provider Identifier
1952308587
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Practice address
880 W Central Rd
Suite 7100
Arlington HTS, IL 60005-2355
Phone
(847) 392-7810
Fax
(847) 392-7834
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X IL Primary

Addresses

Primary practice location

880 W Central Rd
Suite 7100
Arlington HTS, IL 60005-2355

Mailing address

880 W Central Rd
Suite 7100
Arlington HTS, IL 60005-2355
Phone (847) 392-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036043923ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Hospital Past Accepting new patients
Fahey Medical Center S.C. Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952308587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 7100",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-392-7810",
            "fax_number": "847-392-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 7100",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-392-7810",
            "fax_number": "847-392-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "ROGER",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.